Most Relevant Information
Provider Data
| NPI Number: | 1003552332 |
| Provider Name: | BETHANY CODY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2022 |
| Last Updated: | 05/10/2022 |
Provider Practice Location
1200 N WHITE SANDS BLVD STE 121
ALAMOGORDO
NM
883106774
Practice Location Phone/Fax
| Phone: | 8662732451 |
| Fax: |
Provider Mailing Location
1200 N WHITE SANDS BLVD STE 121
ALAMOGORDO
NM
883106774
Provider Mailing Phone/Fax
| Phone: | 8662732451 |
| Fax: |